CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Gadsden Regional Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$14,116

about 1.0× the $14,117 Medicare rate · typically $11,448–$15,304

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,936

About the fair price

about $180 under the fair price · 1.0× Medicare

Medicare pays $14,117 Fair price $14,116 This hospital $13,936

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $8,139 Priciest $13,936

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $14,116 (about 1.0× the $14,117 Medicare rate). Gadsden Regional Medical Center charges insurers about $13,936 — about the fair price. Located in Gadsden, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,889 - $14,981	13%
Blue Cross Blue Shieldmajor	$13,255	94%
Aetnamajor	$14,072	100%
Cignamajor	$13,936 - $25,981	99%
Humanamajor	$13,663	97%
Ambetter (Centene)	$18,146	129%
Clover Health	$14,957	106%
Devoted Health	$14,838	105%
SelectHealth	$13,800	98%
WellCare	$14,133	100%
+ 5 smaller / regional plans	$1,900 - $21,422

Government programs also on file: Medicare.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Gadsden Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Gadsden Regional Medical Center

Compare: Sepsis treatment (inpatient stay) at other AL hospitals

Springhill Medical Center · Mobile $8,139
Grandview Medical Center · Birmingham $12,920
Crestwood Medical Center · Huntsville $12,928
North Alabama Medical Center · Florence $12,980
Riverview Regional Medical Center · Gadsden $13,083
Medical Center Enterprise · Enterprise $13,312
Northeast Alabama Regional Medical Center · Anniston $13,685
Hill Hospital of Sumter County · York $13,760

Insurance negotiated median for the same procedure, sorted lowest first.